Individual
MS. ROSELYN BURTON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4153 LAWRENCEVILLE HWY NW, SUITE 5, LILBURN, GA 30047-2854
(470) 514-4301
(470) 514-4306
Mailing address
7901 BROADWAY, MANAGED CARE, D1-01, ELMHURST, NY 11373-1329
(718) 334-1921
(718) 334-3432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005961
NY
363AM0700X
Medical Physician Assistant
Primary
005245
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
10/19/2006
Last updated
05/10/2013
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